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JAMES KOZAREK MD
NPI 1235216763
Family Medicine in Edinburgh, IN

Active since November 01, 2006PECOS EnrolledAccepts Medicare Assignment
201 W MAIN CROSS ST, EDINBURGH, IN 46124(812) 526-0261(812) 526-3118 Get Directions Write a Review

NPPES record last updated: March 23, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James Kozarek Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JAMES KOZAREK MD (NPI 1235216763) is an individual family medicine provider in Edinburgh, Indiana, licensed in Indiana (01035345) and active in the NPI registry since November 2006. He is enrolled in Medicare PECOS, is affiliated with Johnson Memorial Hospital, and is a graduate of University Of Wisconsin School Of Medicine (1983).

NPPES Registry Identity

NPI1235216763
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameJAMES KOZAREKCredential: MD
Location Address201 W MAIN CROSS STEdinburgh, IN 46124-1346
Mailing Address201 W Main Cross StEdinburgh, IN 46124-1346 · (812) 526-0261 · Fax (812) 526-3118
Phone(812) 526-0261
Fax(812) 526-3118
Sole ProprietorNo
Medical School CMSUniversity Of Wisconsin School Of MedicineGraduated 1983
Enumeration DateNovember 1, 2006
Last NPPES UpdateMarch 23, 2021
NPPES CertifiedMarch 23, 2021
✔ NPI 1235216763 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in IN · 01035345
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
201 W MAIN CROSS ST, Edinburgh, IN 46124
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Other Identifiers 1

Medicaid100193720IN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Meridian, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

James Kozarek Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID9739113903
PECOS Enrollment IDI20100115000515
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 10

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Insertion of needle into vein for collection of blood sample 36415
This procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
218 services170 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
204 services138 patients
Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
173 services115 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
136 services136 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
118 services117 patients
Administration of influenza virus vaccine G0008
The administration of the influenza virus vaccine, also known as the flu shot, is a simple procedure to protect against the flu. A healthcare provider injects a small dose of the vaccine into your arm. This stimulates your immune system to produce antibodies, which will help your body fight off the flu if exposed.
55 services52 patients

Hospital Affiliations CMS Care Compare 2

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Johnson Memorial Hospital

Acute Care Hospitals · Franklin, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150001
Location1125 W Jefferson StFranklin, IN 46131 · Johnson County
Emergency services Birthing friendly

Columbus Regional Hospital

Acute Care Hospitals · Columbus, IN
4/5 CMS rating
OwnershipGovernment - Local
CMS Certification Number150112
Location2400 E 17th StColumbus, IN 47201 · Bartholomew County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 46124 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$82.04 typical visit price
range $53.07 – $161.76
Typical copayment $20.51 (range $13.26 – $40.44)
Most-billed visit code 99203
Established Patient
$94.22 typical visit price
range $16.93 – $132.22
Typical copayment $23.55 (range $4.23 – $33.05)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Referred Medical Equipment & Supplies CMS DME claims 14

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
8 suppliers56 claims157 services$6.32 avg. paid by Medicare
Lancets, per box of 100 A4259
DME-Medical/Surgical Supplies · category DA000N
8 suppliers18 claims23 services$1.04 avg. paid by Medicare
Full face mask used with positive airway pressure device, each A7030
DME-Other DME · category DE001N
3 suppliers15 claims15 services$74.68 avg. paid by Medicare
Face mask interface, replacement for full face mask, each A7031
DME-Other DME · category DE001N
3 suppliers11 claims27 services$33.04 avg. paid by Medicare
Tubing used with positive airway pressure device A7037
DME-Other DME · category DE001N
3 suppliers11 claims11 services$14.16 avg. paid by Medicare
Filter, disposable, used with positive airway pressure device A7038
DME-Other DME · category DE001N
3 suppliers14 claims84 services$2.14 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

AMERICAN HEALTH NETWORK OF INDIANA, LLC
Family Medicine
201 W MAIN CROSS ST
EDINBURGH, IN 46124
Johnson County (812) 526-0261
ROBYN LYN WEAVER MSN, APRN, FNP-C
Nurse Practitioner (Family)
201 W MAIN CROSS ST
EDINBURGH, IN 46124
Johnson County (812) 526-0261

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is James Kozarek's NPI number?

The NPI number for James Kozarek is 1235216763. It was assigned to this individual provider in the NPPES registry on November 1, 2006.

Where is James Kozarek located?

James Kozarek practices at 201 W Main Cross St, Edinburgh, IN 46124. The listed phone number is (812) 526-0261.

What is James Kozarek's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is James Kozarek enrolled in Medicare?

Yes. James Kozarek is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

What insurance does James Kozarek accept?

Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter from Meridian, CareSource and UnitedHealthcare list James Kozarek as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is James Kozarek affiliated with any hospitals?

According to CMS data, James Kozarek is affiliated with Johnson Memorial Hospital and Columbus Regional Hospital.

When was this NPI record last updated?

The NPPES record for James Kozarek was last updated on March 23, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.